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Toward integrative cancer immunotherapy: targeting the tumor microenvironment.
Emens L., Silverstein S., Khleif S., Marincola F., Galon J.
Journal of Translational Medicine 10, 1 (2012) 70 - http://www.hal.inserm.fr/inserm-00692907
 (22490302) 
Toward integrative cancer immunotherapy: targeting the tumor microenvironment.
Leisha Emens () 1, 2, 3, Samuel Silverstein4, 5, Samir Khleif6, Francesco Marincola7, 8, Jérôme Galon9, 10
1 :  Tumor Immunology and Breast Cancer Research Programs
Johns Hopkins University School of Medicine
Baltimore, MD 21231
États-Unis
2 :  Department of Oncology
Johns Hopkins University School of Medicine
Baltimore, MD 21231
États-Unis
3 :  The Sidney Kimmel Comprehensive Cancer Center
Johns Hopkins University
1650 Orleans Street, Room 409, Bunting Blaustein Cancer Research Building, Baltimore, MD 21231-1000
États-Unis
4 :  Department of Physiology and Cellular Biophysics
Columbia University College of Physicians and Surgeons
New York, NY 10032
États-Unis
5 :  Department of Medicine
Columbia University College of Physicians and Surgeons
New York, NY 10032
États-Unis
6 :  GHSU - Georgia Health Sciences University Cancer Center
Georgia Health Sciences University (GHSU) Cancer Center
Georgia
États-Unis
7 :  IDIS - Infectious Diseases and Immunogenetics Section
NIH
Bethesda, MD 20891, USA
États-Unis
8 :  Department of Transfusion Medicine
NIH
Clinical Center and trans-NIH Center for Human Immunology (CHI), Bethesda, MD 20891
États-Unis
9 :  Centre de Recherche des Cordeliers
INSERM : U872 – Université Pierre et Marie Curie [UPMC] - Paris VI – Université Paris V - Paris Descartes
CRBM des Cordeliers 15, rue de l'ecole de medecine batiment E 75270 Paris cedex 06
France
10 :  Hôpital européen Georges Pompidou
Assistance publique - Hôpitaux de Paris (AP-HP) – Hôpital européen Georges Pompidou – Université Paris V - Paris Descartes
France
ABSTRACT: The development of cancer has historically been attributed to genomic alterations of normal host cells. Accordingly, the aim of most traditional cancer therapies has been to destroy the transformed cells themselves. There is now widespread appreciation that the progressive growth and metastatic spread of cancer cells requires the cooperation of normal host cells (endothelial cells, fibroblasts, other mesenchymal cells, and immune cells), both local to, and at sites distant from, the site at which malignant transformation occurs. It is the balance of these cellular interactions that both determines the natural history of the cancer, and influences its response to therapy. This active tumor-host dynamic has stimulated interest in the tumor microenvironment as a key target for both cancer diagnosis and therapy. Recent data has demonstrated both that the presence of CD8+ T cells within a tumor is associated with a good prognosis, and that the eradication of all malignantly transformed cells within a tumor requires that the intra-tumoral concentration of cytolytically active CD8+ effector T cells remain above a critical concentration until every tumor cell has been killed. These findings have stimulated two initiatives in the field of cancer immunotherapy that focus on the tumor microenvironment. The first is the development of the immune score as part of the routine diagnostic and prognostic evaluation of human cancers, and the second is the development of combinatorial immune-based therapies that reduce tumor-associated immune suppression to unleash pre-existing or therapeutically-induced tumor immunity. In support of these efforts, the Society for the Immunotherapy of Cancer (SITC) is sponsoring a workshop entitled "Focus on the Target: The Tumor Microenvironment" to be held October 24-25, 2012 in Bethesda, Maryland. This meeting should support development of the immune score, and result in a position paper highlighting opportunities for the development of integrative cancer immunotherapies that sculpt the tumor microenvironment to promote definitive tumor rejection.
Sciences du Vivant/Cancérologie
Anglais
1479-5876

Articles dans des revues avec comité de lecture
10.1186/1479-5876-10-70
Journal of Translational Medicine
Publisher BioMed Central
ISSN 1479-5876 
internationale
10/04/2012
10/04/2012
10
1
70

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